Laparoscopic versus Open Surgery for Colorectal Cancer: Oncologic and Short-term Clinical Outcomes in a Thai Tertiary-care Hospital
Keywords:Laparoscopy, colorectal cancer, oncology, outcome organs in the pelvis, less tissue trauma and blood loss
Objective: To compare the short-term operative and oncologic outcomes of laparoscopic surgery with those of open surgery in patients with colorectal cancer in a Thai tertiary-care hospital.
Methods: Medical records of 84 patients (36 laparoscopic and 48 open surgery) treated between January 2003 and October 2007 were reviewed. Patients younger than 18 years or harboring major medical co-morbidities were excluded. Baseline clinical characteristics, operative and postoperative events, details of pathological specimens and follow-up information such as cancer recurrence or death were reviewed.
Results: All clinical characteristics did not differ significantly between the two groups. Proximal and distal margins of surgical specimens as well as the total number of lymph nodes removed (median number 19 for laparoscopic vs. 17 for open surgery) were also similar. There were no significant differences in postoperative complications, and after a median follow-up time of 7.5 months and 12 months for the laparoscopic and open procedures respectively, no significant differences in the recurrence rates were seen. There were no operative or cancer-related deaths.
Conclusion: There was no evidence that operative and early oncologic outcomes differ between laparoscopic and open surgery for colorectal cancer patients in a Thai tertiary-care hospital.
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